Individual
SIOBHAN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WILSON LOOP RD, WARD, AR 72176
(501) 941-5630
(501) 843-2270
Mailing address
1500 WILSON LOOP RD, WARD, AR 72176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1512
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136248721
—
AR
Enumeration date
03/09/2010
Last updated
03/09/2010
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